person
Ms. Promila M Mahtab, RN
Psychiatric/Mental Health Registered Nurse in Fresno, California
NPI 1679703136

Promila M Mahtab is a Psychiatric/Mental Health Registered Nurse based in Clovis, CA and is specialized in Psychiatric/Mental Health. Promila M Mahtab practices in Fresno, CA and has the professional credentials of RN. The NPI Number for Promila M Mahtab is 1679703136 and holds a License No. (California).

The current practice location address for Promila M Mahtab is 4411 E Kings Canyon Rd, Fresno, CA and can be reached out via phone at 559-252-4800.

Location: 4411 E Kings Canyon Rd, Fresno, CA, 93611
person
Provider Profile Details
NPI Number
1679703136
Provider Name
Promila M Mahtab
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
4411 E Kings Canyon Rd, Fresno, CA, 93611
Phone Number
559-252-4800
Fax Number
Provider Enumeration Date
07/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4411 E Kings Canyon Rd
City
State
Zip
93702-3604
Phone Number
559-252-4800
Fax Number
person
Provider Business Mailing Address Details
Address
4411 E Kings Canyon Rd
City
State
Zip
93702-3604
Phone Number
559-252-4800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
499674 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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